Question 1

The nurse applies a cooling blanket to a client with a temperature of 105.4°F.Which should the nurse recognize as an indication of therapeutic effectiveness?

Accepted Answer

A)  The client begins to shiver
B)  The blood pressure and pulse increase
C)  The temperature slowly falls to 100°F
D)  The level of consciousness decreasesE) None of the above
F) A) and C)

Question 2

While bathing a client, the nurse finds that the client's previous IV site is tender, and the vein feels hard upon palpation, indicating inflammation.Which should the nurse apply to the site?

Accepted Answer

A)  A cold pack using a glove filled with ice
B)  A warm compress using a washcloth dipped in hot water
C)  Heat by submerging the arm in a basin of very warm water
D)  A refreezable chemical cold packE) A) and B)
F) B) and D)

Question 3

A client is prescribed a heating pad to be placed on the lower back.When should the nurse teach the client to remove the heating pad to prevent rebound phenomenon?

Accepted Answer

A)  The swelling has decreased 
B)  25 to 30 minutes
C)  The discomfort has resolved 4.2 to 3 hoursD) A) and B)
E) A) and C)

Question 4

The nurse removes an ice pack that was placed on the client's skin 10 minutes ago.For which reason did the nurse remove the pack?

Accepted Answer

A)  The ice melted
B)  Skin was mottled
C)  Bleeding did not stop
D)  Swelling did not improveE) A) and D)
F) A) and C) B

Question 5

A client asks why a moist cold pack is prescribed for an injury.What should the nurse respond to this client?

Accepted Answer

A)  "Moist cold increases body metabolism."
B)  "Moist cold increases blood flow to the area."
C)  "Moist cold increases the inflammatory response."
D)  "Moist cold penetrates faster and deeper than dry cold."E) A) and D)
F) B) and C)

Question 6

A client is prescribed a cold compress to the forehead.Which items should the nurse use to make this compress?

Accepted Answer

A)  Towels and bowl of ice
B)  Washcloth and dry towels
C)  Rubber glove and cool water
D)  Washcloth and zip-type plastic bagE) B) and C)
F) A) and B)

Question 7

A client with a sprained wrist is prescribed cold therapy.Which should the nurse explain about this treatment as compared to heat therapy?

Accepted Answer

A)  "Cold therapy decreases swelling and pressure on nearby nerves, which helps decrease pain."
B)  "Heat therapy decreases swelling by constricting vessels and nerves, which can increase discomfort."
C)  "Heat therapy decreases pain by increasing oxygen and nutrients to the injured area."
D)  "Cold therapy increases the inflammatory process, which speeds healing and decreases discomfort."E) All of the above
F) A) and D)

Question 8

The nurse instructs a client to apply heat to an infected hangnail.Which client statement indicates teaching has been effective?

Accepted Answer

A)  "Heat to the area causes the blood vessels to constrict, concentrating the white blood cells needed to fight infection."
B)  "If I apply moist heat to the area, it will decrease the metabolism of the germs that are trying to multiply."
C)  "Applying heat will decrease the blood flow and, as a result, will increase my body's ability to fight infection."
D)  "My body's ability to fight off infection will be enhanced by allowing more white blood cells to get to the wound."E) C) and D)
F) B) and D)

Question 9

A client seeks medical attention for a burn located on the lower back.Which question should the nurse ask to determine how the burn occurred?

Accepted Answer

A)  "Were you lying on a heating pad?"
B)  "When did you notice you had a burn?"
C)  "How close were you standing to the stove?"
D)  "What is the temperature of your water heater at home?"E) B) and D)
F) None of the above A

Question 10

The nurse assesses the skin of a client receiving a heat pack and decides to remove the pack.What skin color did the nurse assess to make this clinical determination?

Accepted Answer

A)  Red
B)  Pale
C)  Pink
D)  MottledE) None of the above
F) B) and D)

Question 11

A client who was lost in the woods hiking has a body temperature of 95°F.Which treatment should the nurse anticipate providing to improve this client's body temperature?

Accepted Answer

A)  Warm soaks
B)  Heating pad
C)  Whirlpool bath
D)  Warming blanketE) A) and C)
F) C) and D)

Question 12

The nurse is caring for a group of clients.For which client should the nurse monitor more closely when using hot or cold therapy? Select all that apply.

Accepted Answer

A)  A 58-year-old with appendicitis
B)  A 79-year-old with prostate cancer
C)  A 45-year-old with rheumatoid arthritis
D)  A 1-year-old with an ear infection
E)  A 62-year-old with heart diseaseF) B) and E)
G) C) and D)

Question 13

The nurse is reviewing clients scheduled for a whirlpool bath.For which clients should the nurse take special precautions? Select all that apply.

Accepted Answer

A)  A client who has been sedated to undergo a procedure
B)  A 70-year-old client
C)  A client with a wound that requires debridement
D)  A client with physical therapy scheduled
E)  An 8-year-old clientF) A) and C)
G) B) and D)

Question 14

A client is prescribed sitz baths after hemorrhoid surgery.What should the nurse do before providing the client with this bath?

Accepted Answer

A)  Apply a clean gown.
B)  Ask the client to void.
C)  Assess the surgical site.
D)  Measure orthostatic blood pressure.E) A) and C)
F) A) and D)

Question 15

An older client with hip pain reports that continuous heat has been the most effective means of relieving pain.After confirming that the client has an order for heat therapy, which method should the nurse select?

Accepted Answer

A)  Hot-water bottle
B)  Warming blanket
C)  Heating pad
D)  Aquathermia K-padE) All of the above
F) C) and D)

Question 16

A client receiving a cold pack complains of the skin feeling cold.Which action should the nurse take?

Accepted Answer

A)  Remove the pack.
B)  Apply a towel over the pack.
C)  Apply another towel under the pack.
D)  Replace the pack with another one.E) B) and D)
F) B) and C)

Question 17

The nurse is preparing to apply a warm pack to a client experiencing back spasms.Which should the nurse do before application?

Accepted Answer

A)  Warm the towel in the microwave.
B)  Check peripheral pulses for a baseline.
C)  Assess the skin for edema and color.
D)  Prepare the warm pack using sterile technique.E) B) and C)
F) All of the above

Question 18

A client is prescribed warm moist heat application four times a day.Which should the nurse apply directly to the skin area?

Accepted Answer

A)  Dry towel
B)  Petroleum jelly
C)  Warm moist towel
D)  Heat delivery deviceE) C) and D)
F) A) and C) C

Question 19

A client is approved to use a heating pad at home.Which should the nurse emphasize when teaching the client about the use of this device?

Accepted Answer

A)  Use the highest heat setting.
B)  Expect the skin around the device to be red.
C)  Set a timer for no longer than 20 to 30 minutes.
D)  Apply petroleum jelly to the skin before applying heat.E) All of the above
F) B) and C)

Question 20

A client is prescribed a cold pack to be placed over several arm wounds.Which should the nurse expect to occur after applying this therapy? Select all that apply.

Accepted Answer

A)  Reduced pain
B)  Muscle relaxation
C)  Decreased bleeding
D)  Prevention of edema
E)  Increased cellular metabolismF) C) and D)
G) C) and E)

Exam 18: Applying Heat and Cold Therapies

The nurse applies a cooling blanket to a client with a temperature of 105.4°F.Which should the nurse recognize as an indication of therapeutic effectiveness?

Correct AnswerverifiedShow Answer

While bathing a client, the nurse finds that the client's previous IV site is tender, and the vein feels hard upon palpation, indicating inflammation.Which should the nurse apply to the site?

Correct AnswerverifiedShow Answer

A client is prescribed a heating pad to be placed on the lower back.When should the nurse teach the client to remove the heating pad to prevent rebound phenomenon?

Correct AnswerverifiedShow Answer

The nurse removes an ice pack that was placed on the client's skin 10 minutes ago.For which reason did the nurse remove the pack?

Correct AnswerverifiedB

A client asks why a moist cold pack is prescribed for an injury.What should the nurse respond to this client?

Correct AnswerverifiedShow Answer

A client is prescribed a cold compress to the forehead.Which items should the nurse use to make this compress?

Correct AnswerverifiedShow Answer

A client with a sprained wrist is prescribed cold therapy.Which should the nurse explain about this treatment as compared to heat therapy?

Correct AnswerverifiedShow Answer

The nurse instructs a client to apply heat to an infected hangnail.Which client statement indicates teaching has been effective?

Correct AnswerverifiedShow Answer

A client seeks medical attention for a burn located on the lower back.Which question should the nurse ask to determine how the burn occurred?

Correct AnswerverifiedA

The nurse assesses the skin of a client receiving a heat pack and decides to remove the pack.What skin color did the nurse assess to make this clinical determination?

Correct AnswerverifiedShow Answer

A client who was lost in the woods hiking has a body temperature of 95°F.Which treatment should the nurse anticipate providing to improve this client's body temperature?

Correct AnswerverifiedShow Answer

The nurse is caring for a group of clients.For which client should the nurse monitor more closely when using hot or cold therapy? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is reviewing clients scheduled for a whirlpool bath.For which clients should the nurse take special precautions? Select all that apply.

Correct AnswerverifiedShow Answer

A client is prescribed sitz baths after hemorrhoid surgery.What should the nurse do before providing the client with this bath?

Correct AnswerverifiedShow Answer

An older client with hip pain reports that continuous heat has been the most effective means of relieving pain.After confirming that the client has an order for heat therapy, which method should the nurse select?

Correct AnswerverifiedShow Answer

A client receiving a cold pack complains of the skin feeling cold.Which action should the nurse take?

Correct AnswerverifiedShow Answer

The nurse is preparing to apply a warm pack to a client experiencing back spasms.Which should the nurse do before application?

Correct AnswerverifiedShow Answer

A client is prescribed warm moist heat application four times a day.Which should the nurse apply directly to the skin area?

Correct AnswerverifiedC

A client is approved to use a heating pad at home.Which should the nurse emphasize when teaching the client about the use of this device?

Correct AnswerverifiedShow Answer

A client is prescribed a cold pack to be placed over several arm wounds.Which should the nurse expect to occur after applying this therapy? Select all that apply.

Correct AnswerverifiedShow Answer

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A

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C

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